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Individual
DR. YONG HOON PARK
Active
Individual
DR. YONG HOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
8171
NV
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G75600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G756000
—
CA
05
—
200290212
—
NV
01
—
NV9189
BLUE
NV
01
—
P00664706
RR MEDICARE
CA
Enumeration date
01/10/2006
Last updated
01/23/2014
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